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Alaska rates for HCPCS 13120

Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.49 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.09 / $331.92 / $1,669.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.66 / $605.54 / $1,118.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.55 / $1,609.54 / $2,337.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.40 / $672.48 / $1,025.70
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.80 / $1,004.85 / $1,513.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.55 / $1,609.54 / $2,337.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.96 / $908.10 / $1,623.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.32 / $894.78 / $1,349.87